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Individual
ANNA OBERNDORF
Active
Individual
ANNA OBERNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
661211
NY
363LA2200X
Adult Health Nurse Practitioner
308566
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
42-2650135
NY
Other
Enumeration date
01/23/2018
Last updated
07/27/2026
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